Nursing Quality Research Articles

Shift Changes' Effects on Sleep Quality and Work Performance among Nurses Working in Bahrain's Intensive Care Units

Objective: To determine the difference in the sleep quality and work performance of nurses between one shift duty, two shifts duty, and three shifts duty in intensive care units at a government hospital in the Kingdom of Bahrain. Methods: This cross-sectional study was conducted at a government hospital of Bahrain from February to April 2021. A total of 200 nurses worked for at least one year in an intensive care units were eligible for the study. A questionnaire was administered online to collect data. The Pittsburgh Sleep Quality Index (PSQI) was used to measure sleep quality while Nurse Work Function Questionnaire (NWFQ) was used to measure work performance.Results: There were 145 (72.5%) females and 55 (27.5%) males with a mean age of 38.2 ± 8.2 years. Most of the nurses were staff nurses 188 (94%), and shift workers 178 (89%). The mean PSQI of nurses who work only one shift reported normal sleep quality of 1.3 ± 1.0 where those who work two shifts had poorer sleep quality measured 9.2 ± 0.8 and nurses who work three shifts had reported even worse sleep quality with a statistically significant difference 15.6 ± 1.8 (p-value <0.0001). Moreover, the more variety of shifts the critical care nurses work, the more impaired their performance was (p-value <0.001). Conclusion: The more shift work schedules the nurse works, the worse is the reported sleep quality and work performance.

General Health, Posttraumatic Stress Disorder, and Coping Strategies of Nurses Working in the COVID-19 Intensive Care Units

Background: Nurses working in intensive care units (ICUs) are more in direct contact with COVID-19 patients than other healthcare team members and are more vulnerable to mental disorders. This study aimed to determine the general health status, posttraumatic stress disorder, and coping strategies of nurses employed in the COVID-19 intensive care units. Methods: It was a cross-sectional descriptive study. Using the census method, 102 nurses working in the COVID-19 intensive care units of Iran University of Medical Sciences in Tehran, Iran, were recruited as the sample in 2022. The general health questionnaire (GHQ-28), the impact of events-revised (IES-R), and the ways of coping questionnaire (WCQ) were used as research instruments. The data were analyzed using the Pearson correlation coefficient, independent t-test, and analysis of variance in SPSS software, version 16. The significance level was set at P<0.05. Results: The overall mean of general health was 32.22±12.21, indicating mild psychological distress in most nurses. Somatic symptoms had the highest mean (9.16±4.06) among the GHQ-28 subscales. The mean posttraumatic stress disorder was 39.07±14.79. The means of problem-focused and emotion-focused coping strategies were 48.03±13.44 and 40.78±11.70, respectively. Most nurses (60.8%) generally suffered posttraumatic stress symptoms and used problem-focused coping strategies to deal with stressors during the COVID-19 pandemic. No significant relationship existed between the main variables and the nurses’ characteristics (P>0.05). Conclusion: Most nurses experienced mental disorders (general health disorders and posttraumatic stress) during the COVID-19 pandemic. To reduce the psychological impact of COVID-19 on nurses, paying attention to their mental health is essential. Given the adverse effect of COVID-19 on nurses, studying the relationship between these variables and the quality of nurses’ performance is suggested.

Application Effect of Four-Subjects and Four-Dimensions Evaluation System in the Classroom Teaching of Geriatric Nursing

Geriatric nursing is the main course for cultivating elderly nursing talents. The teaching quality of geriatric nursing is the key element of training elderly nursing talents. Therefore, it is of great significance to improve the classroom teaching quality of geriatric nursing. The purpose of this study is to construct a four-subject and four-dimension evaluation system and explore its application effect in geriatric nursing teaching. From February 2022 to July 2022, an experimental study was conducted on 185 sophomore nursing students from Zaozhuang Vocational College. The experimental group adopted the four-subject and four-dimension evaluation system, while the control group adopted the summative evaluation method. The study found that the scores of the experimental group were higher than those of the control group (P<0.05). In addition, the academic evaluation of the experimental group was significantly improved (P<0.05). The results show that the application of four subjects and four dimensions evaluation system in geriatric nursing teaching is conducive to improving students' learning effect and comprehensive ability.

The effect of regular nursing rounds on patients' comfort and satisfaction, and violence against nurses in surgical ward

BackgroundPatients' satisfaction and comfort are known as the quality indicators of nursing care. Nowadays, violence against nurses has an increasing trend. Regular nursing rounds are one of the caring programs that help improve these indicators. This study aimed to examine the effect of regular nursing rounds on patients' comfort, satisfaction, and violence against nurses. Materials and methodsThis quasi-experimental study was conducted in two groups consisting of 100 patients and 35 nurses in a surgery ward in the northwest of Iran. The satisfaction with nursing care quality questionnaire, Kolcaba's general comfort questionnaire, and work environment violence were used for data collection. In the present study, the control and intervention groups were selected using a simple sampling method. The control group received routine care only; however, the intervention group received a regular nursing round program every 2 h from the second day of their admission for three days. The satisfaction questionnaire and comfort scale were completed on the second and fifth days of admission, and the evaluation of violence against nurses was performed from the second to the fourth day. The results were analyzed using chi-square, Fisher, independent t, and paired t tests. ResultsBefore the intervention, no statistically significant difference was observed between the two groups in terms of demographic and dependent variables (p > 0/05). After the intervention, statistically significant differences were observed among the mean scores of satisfaction with nursing care (p < 0/001), comfort (p < 0.001), and violence against nurses (p = 0.041) between the two study groups, so that in the intervention group, the patients’ satisfaction and comfort increased and violence against nurses reduced during the intervention period. ConclusionsThe use of regular nursing rounds had a positive effect on the study results. Therefore, it is recommended that nurse managers design, implement, encourage, and evaluate regular nursing rounds to improve nursing care.

Enhancing Family Life Quality of Nurses Amid COVID-19 Pandemic: The Mediating Role of Organization-Based Self-Esteem in the Relationship Between Mentoring Quality and Family Satisfaction

It is challenging to be a nurse because you have to deal with patients’ unstable states on the spot, especially during pandemics. There has been an escalation in the situation as a result of the spread of a novel Coronavirus, COVID-19, across the globe. The mental health and personal lives of nursing staff suffered as a result of overload and stress during this contagion. In this context, the current study aims to hinge on improving the family satisfaction and family life quality of frontline soldiers by mentoring quality through the mediating role of organization-based self-esteem. Against this backdrop, a sample of 450 nurse-family dyads was collected in a three-wave field survey to investigate the hypotheses concerning the subjects working in hospitals in Lahore, Pakistan. Data were analyzed through structural equation modeling using AMOS 26. The study results indicate that high mentoring quality positively impacts family satisfaction and family life quality. In light of the study findings, hospital administration has practical implications for improving the quality of mentoring in order to enhance the personal and professional lives of nurses.

Assessment of Hospitalised Patient Satisfaction with Nursing Care in the Gynaecology and Obstetrics Department of Benghazi Medical Center, Libya

Satisfaction with nursing care is believed to be an indicator of the quality of the health setting, for this reason, many stakeholders and managers focus on measuring patients’ satisfaction to gather crucial information that could improve nursing service quality. The purpose of this study was to assess patients’ satisfaction with nursing care in the gynaecology and obstetrics department at Benghazi Medical Center (BMC) in Libya. Method: This study utilized a cross-sectional survey design. The survey was conducted from April to May 2022. Participants: - The population of the study consisted of adult patients who agreed to participate in the research and met the inclusion criteria, A convenient sampling method was applied in this study (n=300). Instrument: The data were collected through patient satisfaction with the nursing care quality questionnaire (PSNCQQ). The first section collected general information and demographic data; the second section consisted of a questionnaire related to patient satisfaction with nursing care. The scale included additional questions designed to assess satisfaction with the overall quality of care and treatment received during hospitalization, the overall quality of nursing care, and the likelihood that the patient would recommend the hospital to relatives and friends. The findings: The patients rated their satisfaction with nursing care as being at a low level of satisfaction. Moreover, patients reported less satisfaction with the overall quality of care and services received during their hospital stay and reported that they would not recommend this hospital to their families and friends. Recommendation: Periodic assessments to measure patients’ satisfaction levels with nursing care in different units and locations, and with a larger sample, could help healthcare facilities to guarantee the provision of high-quality patient care. - The results of the evaluation should be used to develop potential new strategies to improve the level of nursing services in the hospital.

Operation Theatre Nurses’ Job Satisfaction in a Teaching Hospital in Mangalore - A Case Study

Purpose: Operation theatre management has always been a challenging aspect for any hospital administrator because it includes staff from various categories, a large amount of infrastructure, maintenance work, risk management, infection control priorities, and, most importantly, patient safety. Nurses play a crucial part in the healthcare team. Nursing work is demanding. Nurses work to prevent illness, promote health, and extend people's lives and the lives of the community. Nurses are involved in patient care, doctor care, and administrative care. Nurses' job satisfaction is crucial for healthcare institutions because it influences both the nursing care quality and patients' satisfaction. Design/methodology/approach: The research approach adopted is a descriptive study approach. Findings/Result: The individual's satisfaction levels can be influenced and shaped by various factors. Due to rising labor costs and the enormous shortage of nurses, satisfaction in the nursing job sector is a very important but also a crucial challenge for healthcare organizations. The key importance is the motivation of this discipline (Nurses) so that their involvement in the hospitals they work and practice their profession will be as satisfactory as possible. The aspects that affect a nurse's satisfaction with their work in operation theatres were identified to be appreciable salary with increment, duty time management, experienced staff as peers, reduced workload &amp; stress, more leave privileges, teamwork, the advanced technology at work, in-service education &amp; training, and more respect at their place of work, from the study as perceived by the operation theatre nurses’ themselves. Originality/value: Employee job satisfaction is the level at which an individual is content with a range of variety in their work, like the overall nature of their work. However, a person's needs and personality traits also have a role in their level of job satisfaction. Paper Type: Case study

Pelaporan Indikator Mutu Keperawatan dengan Penerapan Berbasis Teknologi dan Sistem Informasi

This study aims to improve the application of unit quality indicator reporting through a digital system that makes it easier for nurses to access so that reports can be submitted quickly and accurately. The method used is a literature review of 11 kinds of literature and various other literature on improving the quality of nursing through the reporting system. The research results show that the basis for nurses in supporting the work program of the Department of Nursing is to maintain the quality or quality of nursing services, which is guided by hospital patient safety. One is implementing a technology-based and information system-based nursing quality indicator reporting system. In conclusion, reporting unit quality indicators becomes more accessible, faster, and precise. It becomes an effort to determine the quality of performance and nursing services in each nursing unit which is very beneficial for health workers, hospitals, and the community.&#x0D; &#x0D; Keywords: Nursing Quality Indicators, Hospital Information Systems, Digital Technology

Effects of individual, institutional and nursing work environment variables on nurses’ quality of work life

ABSTRACT The nurses’ quality of work life (QWL) is critical for a sustainable nursing workforce and effective healthcare delivery. As nurses make up the majority of the healthcare workforce, their QWL is an important issue for both nurses and nurse managers. Therefore, nurse managers need to assess, monitor, and improve the QWL of their nurses. This study aimed to determine the impact of the nursing work environment on nurses’ QWL. This descriptive and cross-sectional study was conducted among 330 nurses working in a private university hospital. A healthy nursing work environment and individual and institutional factors positively influence nurses’ QWL. This study showed that nurses’ participation in hospital affairs, satisfaction with the institution, satisfaction with the social facilities, ability to meet the institution's career goals, work unit, and perceived salary were all factors that influenced nurses’ QWL. This study contributes to the understanding of the impact of nurses’ work environment and individual and institutional variables on their QWL. Healthcare administration and nurse managers can help improve the quality of nurses’ working lives by developing strategies to create healthy work environments.

Work-related stress, job satisfaction, and quality of work life among cardiovascular nurses in Italy: Structural equation modeling

AimTo investigate the simultaneous effects of work-related stress and job satisfaction on cardiovascular nurses' quality of work life. BackgroundPrior research has investigated nurses' work-related stress, job satisfaction, and quality of work life as separate aspects and not in specific nursing settings, such as cardiovascular wards. Cardiovascular care settings can be particularly stressful for nurses, who are often faced with distress, depression and patients and caregivers' physical and psychological exhaustion. MethodsA multicenter cross-sectional study was conducted among 1126 cardiovascular nurses from 10 hospitals in Italy. Work-related stress, job satisfaction, and quality of work life were measured using valid and reliable questionnaires. Structural equation modeling was performed. ResultsNurses working in critical cardiac care units experienced more stress than their colleagues working in other cardiac units. Nurses working in cardiac outpatient clinics reported lower quality of work life than those working in other cardiac settings. There was a negative relationship between work-related stress and nurses' quality of work life, which was partially mediated by job satisfaction, indicating that stress generated by the work environment negatively affect nurses' quality of work life by reducing their job satisfaction. ConclusionCardiovascular nurses' quality of work life is negatively affected by work-related stress. The work-related stress is mediated through job satisfaction. Nurse managers should maximize nurses' job satisfaction by providing comfort at work, supporting professional development opportunities, sharing organizational objectives, and actively listening and addressing nurses' concerns. When cardiovascular nurses' quality of work life is elevated, patients' care quality and outcomes are improved.

Development and validation of experienced work-integrated learning instrument (E-WIL) using a sample of newly graduated registered nurses – A confirmatory factor analysis

IntroductionResearch indicates that newly graduated registered nurses struggle to develop practical skills and clinical understanding and to adapt to their professional role. To ensure quality of care and support new nurses, it is vital that this learning is elucidated and evaluated.AimThe aim was to develop and evaluate the psychometric properties of an instrument assessing work-integrated learning for newly graduated registered nurses, the Experienced Work-Integrated Learning (E-WIL) instrument. MethodThe study utilized the methodology of a survey and a cross-sectional research design. The sample consisted of newly graduated registered nurses (n = 221) working at hospitals in western Sweden. The E-WIL instrument was validated using confirmatory factor analysis (CFA). ResultsThe majority of the study participants were female, the average age was 28 years, and participants had an average of five months' experience in the profession. The results confirmed the construct validity of the global latent variable E-WIL, “Transforming previous notions and new contextual knowledge into practical meaning,” including six dimensions representing work-integrated learning. The factor loadings between the final 29 indicators and the six factors ranged from 0.30 to 0.89, and between the latent factor and the six factors from 0.64 to 0.79. The indices of fit indicated satisfactory goodness-of-fit and good reliability in five dimensions with values ranging from α = 0.70 to 0.81, except for one dimension showing a slightly lower reliability, α = 0.63, due to the low item number. Confirmatory factor analysis also confirmed two second-order latent variables, “Personal mastering of professional roles” with 18 indicators, and “Adapting to organisational requirements” with 11 indicators. Both showed satisfactory goodness-of-fit, and factor loading between indicators and the latent variables ranged from 0.44 to 0.90 and from 0.37 to 0.81, respectively. ConclusionThe validity of the E-WIL instrument was confirmed. All three latent variables could be measured in their entirety, and all dimensions could be used separately for the assessment of work-integrated learning. The E-WIL instrument could be useful for healthcare organisations when the goal is to assess aspects of newly graduated registered nurses' learning and professional development.

The effect of Aromatherapy with Pelargonium graveolens (P. graveolens) on the fatigue and sleep quality of critical care nurses during the Covid-19 pandemic: A randomized controlled trial

ObjectivesMeasures to reduce nurses' fatigue are necessary to improve the patient's care and the nurse's health and well-being. This study investigated the effectiveness of aromatherapy with Pelargonium graveolens (P. graveolens) essential oil on fatigue and sleep quality of nurses working in intensive care units (ICU). MethodsIn this double-blind, randomized, controlled clinical trial, 84 nurses working in the ICU of Covid-19 patients were assigned to two groups of P. graveolens and placebo by the stratified block method. The intervention group inhaled one drop of pure P. graveolens. The placebo group inhaled one drop of pure sunflower oil in three consecutive shifts (morning or evening) and each shift twice for 20 min. Using the Visual Analog Fatigue Scale (VAS-F), fatigue was measured 30 min before the intervention, immediately, and 60 min later. Also, on the morning of the intervention days, sleep quality was assessed with the Verran and Snyder-Halpern (VSH) Sleep Scale. Data analysis was performed using SPSS, version 24. Independent t-tests, Mann-Whitney, Chi-square tests, and MANOVA, were used. ResultsThe mean score of fatigue immediately and 60 min after aromatherapy in the P. graveolens group was lower than in the control group (P ˂ 0.05). There was no significant difference between the mean sleep scores of nurses in the P. graveolens group before and after the intervention (P > 0.05). ConclusionInhalation aromatherapy with P. graveolens essential oil can reduce nurses' fatigue in the ICU. The findings of this study can make nurses interested in using aromatherapy as a self-care method.

Causal Modelling of Factors Influencing Quality of Nursing Care in China

The quality of nursing care is essential and contributes to restoring people’s health and well-being, especially when people are hospitalized. Various factors relating to the quality of nursing care have been identified, including nursing shortages. However, in China, there has been little research undertaken on factors influencing nursing care quality. This cross-sectional study aimed to develop and test the Chinese Model of Quality Nursing Care. A multi-stage, proportional stratified random sampling was used to recruit 784 registered nurses in three affiliated hospitals of a medical university in the People’s Republic of China. Eight Instruments were used for data collection: a demographic data form, the Good Nursing Care Scale, the Nurse Staffing Item, the Practice Environment Scale of the Nursing Work Index, the 3-item Utrecht Work Engagement Scale, the Psychological Empowerment Scale, the High-performance Work Systems Scale, the 8-item Survey of Perceived Organizational Support. In addition, the Analysis of Moment Structure software program was used to test the hypothesized model. Results indicated that the modified model fitted the empirical data and explained 31% of the variance in the quality of nursing care. Nursing practice environment, psychological empowerment and work engagement had positive direct effects on the quality of nursing care, with the nursing practice environment having the strongest total effect. Nursing practice environment, high-performance work systems, and perceived organizational support indirectly positively affected the quality of nursing care through psychological empowerment and work engagement. Unexpectedly, the patient-to-nurse ratio had no significant influence on the quality of nursing care. The results support the need for hospital managers to take action to improve the organizational support and work environment and create high-performance work systems to retain more nurses and midwives to enhance the quality of nursing care. The model requires further testing in practice and possible refinement.

Psychometric Properties of Schwartz Center Compassionate Care Scale with Iranian Patients

Background: Despite patients’ and caregivers’ approval of the importance of compassionate care, without proper measurement, we cannot know the level of compassion or the effectiveness of interventions. Thus, the aim of this study was to assess the reliability and validity of the Persian version of the Schwartz for Compassionate Care scale.&#x0D; Methods: The scale was translated using the back and forward technique. The construct validity was assessed using confirmatory factor analysis. Concurrent validity was examined by Pearson’s correlations between this scale and the patient satisfaction with nursing care quality questionnaire. The reliability was assessed using test-retest and internal consistency methods.&#x0D; Results: The results of the confirmatory factor analysis reported almost adequate values for all fit indices (χ2/df = 2/85, RMSEA= 0/07, CFI= 0/88, GFI=0/92, AGFI=0/88 TLI=0/90) and concurrent validity was high. Cronbach’s alpha was reported as 0.95 and the results of the test-retest in checking the time stability of the scale were reported as 0.78.&#x0D; Conclusion: It can be concluded that Schwartz’s Compassionate Care scale had almost acceptable validity and reliability for Iranian nurses’ caring behavior. Therefore, the Persian version of this scale should be used with caution in Iran.

Patients’ experiences of urinary retention and bladder care – A qualitative study in orthopaedic care

BackgroundUrinary retention is a common complication associated with hip surgery. There are easily available, evidence-based clinical practice guidelines prescribing how to prevent both urinary retention and other voiding issues, by means of bladder monitoring and risk assessments. A detected lack of adherence to such guidelines increases risks for unnecessary suffering among patients but a greater understanding of patients’ experiences can benefit tailored interventions to address quality and safety gaps in orthopaedic nursing and rehabilitation. PurposeThe aim was to describe patients’ experiences of urinary retention, bladder issues, and bladder care in orthopaedic care due to hip surgery. MethodThis was a qualitative study with a descriptive design: content analysis with an inductive approach was applied to interviews (n = 32) and survey free-text responses (n = 122) across 17 orthopaedic units in Sweden. ResultsThe patients had received no or limited details for the recurrent bladder care interventions (such as bladder scans and prompted voiding) while at the hospital. They relied on the staff for safe procedures but were left to themselves to manage and comprehend prevailing bladder issues. Despite the patients’ experiences of bladder issues or the risk of urinary retention postoperatively, the link to hip surgery remained unknown to the patients, leaving them searching for self-management strategies and further care. ConclusionsPatients’ perspectives on bladder care, urinary retention and bladder issues can serve as a means for increased understanding of procedures and issues, reinforcing improved implementation of guidelines, including person-centred information. Safer bladder procedures imply further patient engagement, highlighted in guidelines.

Impact of organizational justice and manager's mental health on staff nurses’ affective commitment: A multilevel analysis of the work environment of hospital nurses in Japan-Part II (WENS-J-II)

BackgroundNursing shortage is a global and priority issue. Affective commitment has been identified as a key to retention in the workplace. Exploring the way to promote the nurse's affective commitment is necessary to maintain the nursing workforce and care quality. The staff nurse's organizational justice (procedural and interactional justice) and the manager's condition of mental health have the potential to be related to the staff nurse's affective commitment. ObjectiveTo explore the impact on the nurse's affective commitment from procedural and interactional justices at individual and unit levels and the manager's mental health. DesignA multi-site longitudinal design. Setting(s)Nine Japanese hospitals with more than 200 beds and located in an area with more than 150,000 people. Participants385 staff nurses and their 42 nurse managers who completed both surveys in 2016 and 2017. MethodsWe analyzed the data from a two-year national survey of the Work Environment for hospital Nurses in Japan part II. Nurse staff and their managers completed the surveys. This multilevel analysis performed four random intercept models on affective commitment and entered the variables of procedural and interactional justices and manager mental health into the models. ResultsThe staff nurse's affective commitment was positively associated with procedural justice climate (unit level), interactional justice climate (unit-level), and the perception of interactional justice (individual justice). The manager's mental health (psychological distress) had a negative relationship with affective commitment. ConclusionsThe climates of procedural and interactional justice, the individual perception of interactional justice, and the manager's mental health impacted the nurses’ affective commitment as a predictor of retention. Moreover, the perception of interactional justice and the organizational contexts (organizational justice climates and managers’ psychological distress) were mediated by affective commitment. Thus, support to maintain the manager's mental health is required to promote staff's affective commitment related to retention. RegistrationNone. Tweetable abstractNurse staff's affective commitment was stimulated by interactional justice, two types of organizational justice climate, and the manager's mental health.

The instruments for evaluation the quality of nursing work life

Abstract Aim. To provide an overview of valid and reliable tools focusing on the assessing the quality of nursing work life, and to compare the tools with their psychometric characteristics, and use in clinical nursing practice. Material and methods. Licensed databases were used: SCOPUS, Web of Science and ProQuest in January 2022. Key words were: assessing/measuring the quality of nursing work life, quality of nurses working life, instrument, hospital nurses. Results. A total of 129 documents were identified. Based on selection criteria, 25 studies were included to final analysis. The following instruments were used for assessing the quality of nursing work life: Brooks Quality of Nursing Work Life, Quality of Work Life, Work Related Quality of Life scale, Professional Quality of Life scale, and The World Health Organization Quality of Life. Conclusions. The instruments demonstrated acceptable psychometric properties. However, their use in a specific sociocultural environment requires testing their validity and reliability on a representative sample of respondents in this environment.

An integrative review of Indonesia’s quality of care

High-quality health care services would give good health outcomes to society. Nursing service is part of the quality-of-care process. The study aimed to investigate the quality of care in Indonesian hospitals over the last 20 years. The integrative review method was used, and 36 studies in Indonesia were analyzed, following the procedure: problem recognition, literature finding, data assessment, data review, and presentation of the results. Currently, the quality of care in Indonesia is low. The quality of care has increased over time in line with technology and science, and the factors which are related to quality have increased broader. Those factors are hospital management factors, nurse, and nursing organization the hospital management factors, including nurses staffing, environment, and job design. Nursing staffing factors are nursing shortage, workload, job satisfaction, burnout, and turnover. Meanwhile, work environment factors include supervision, empowerment, nurse-physician relationship, managerial, surveillance, and case management. Job design factors are nursing rounds, care delivery, competencies, training needs, roles, and documentation. Besides, personal factors are education, gender, ability/skills, and critical thinking. Therefore, the complicated factors related to nursing quality need further studies to explore whether they give significant results to improve quality of care.

Shift handover quality in Saudi critical care units: determinants from nurses’ perspectives

BackgroundNurses’ effective handover communication is vital for patient safety and quality of care. Few studies have empirically tested how certain factors influence the quality of handover in the Saudi context.MethodsA descriptive correlational design was used with a convenience sample of all nurses (N = 201) working in Saudi hospital CCUs in 2022. Demographics and handover quality instruments were used to collect the necessary data in addition to two open-ended questions that asked about perceived barriers and facilitators to handover. The analysis was conducted using descriptive statistics and regression analysis.ResultsThe majority of nurses reported good-quality handover. The regression analysis showed that staffing, cognitive capacity, the focus of attention, relationships, and safety climate factors contributed positively to the variance of handover quality. In contrast, intrusions, distractions, anxiety, time stress, and acute and chronic fatigue factors negatively affected the prediction of handover quality (p < 0.05). Nurses added types of shifts and languages as barriers to handover while emphasizing training and the use of standardized tools for handover as facilitators.Conclusion and recommendationsNursing handover is a multidimensional phenomenon. By understanding the determinants that contribute to or hinder handover quality, it is possible to develop targeted interventions aimed at improving communication and the quality of shift handover in CCUs. The current study’s findings highlight the need for nurses to work in a more supportive environment, receive better training, and follow a standardized handover protocol. Additionally, nurse managers should pay more attention to nurses’ well-being to control or mitigate the effect of psychological precursors on the quality of nurses’ handover. Future research should investigate handover practices and outcomes on units that have both good and bad practice environments.

Diyabet Bilgi Düzeyinin Artırılmasında Kavram Haritası ile Geleneksel Anlatıma Dayalı Öğretim Yönteminin Karşılaştırılması

Purpose: This study aims to compare the effects of the traditional and concept mapping methods on knowledge levels of the nursing students on diabetes. Methods: This pretest posttest semi-experimental study was conducted on 56 second grade nursing students randomly assigned into two groups of 28 people. The intervention group was taught through concept mapping method, while the control group was taught using traditional method. Categorical variables were compared by using chi-square test whereas the age of the participants was evaluated by using t-test. Continuous variables were compared using Wilcoxon test, Mann Whitney U test or Friedman test. Results: There was no statistically significant difference between the pretest scores of the intervention and the control groups on diabetes knowledge (p=0.941). However, following the lectures, median values of the intervention group was statistically significantly higher than the control group (p=0.001). Comparison of the scores obtained by the concept mapping and traditional learning groups from the pretest, second test and final test showed a statistically significant difference (p=0.001). Conclusions: In achieving th elevel of nursing students’ learning in Diabet, it seems that the concept mapping method was more effective than the traditional method. In conclusion that concept mapping as the educational method could encourage a group of nursing students knowledge of diabetes, which might ultimately result in beter nursing care quality.